Active NPI
Jerome William Larson, M.D.
- Vascular & Interventional Radiology Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 35610
- Practice address
- 5801 E 41St St Ste 900
Tulsa, OK 74135-5631 - Phone
- (918) 747-4975
- Fax
- (918) 743-8552
- NPI assigned
- May 21, 2013
- Last updated
- Sep 21, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35610 | OK | |
| Vascular & Interventional Radiology Physician | 2085R0204X | W8187 | TX | |
| General Practice Physician | 208D00000X | A162079 | CA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 35610 | OK | Primary |
| Surgery Physician | 208600000X | 125062965 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | ME183938 | FL |
Addresses
Primary practice location
5801 E 41St St Ste 900
Tulsa, OK 74135-5631
Mailing address
PO Box 4930
Tulsa, OK 74159-0930
Phone (918) 747-4975
Other practice location 1
4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200
Other practice location 2
1983 Marengo St
Los Angeles, CA 90033-1370
Phone (323) 409-7677
Other practice location 3
1653 W. Congress Parkway
Rush University Medical Center
Chicago, IL 60612
Phone (405) 397-0376
Other practice location 4
2101 Pease St
Harlingen, TX 78550-8307
Phone (956) 389-6565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Oklahoma College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5801 E 41St St
Suite 900
Tulsa, OK 74135-5631
Phone (918) 743-8838
Hospital & facility affiliations
- Saint Francis Hospital, Inc
- Saint Francis Hospital South, LLC
- Saint Francis Hospital Vinita, Inc
- Saint Francis Hospital Muskogee
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.65 of 100
- Quality
- 92.54
- Improvement activities
- 40
- Cost
- 39.2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35610 | OK | MD | Vascular & Interventional Radiology Physician |
| 125062965 | IL | MD | Surgery Physician |
| A162079 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Consultants of Tulsa Inc | Diagnostic Radiology | Current | Accepting new patients |
Locations
5801 E 41st St
Ste 900
Tulsa, OK 74135
Phone (918) 743-8838
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Tulsa, OK
- NPI 1487641890
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Francis Hospital Muskogee
- General Acute Care Hospital
- Muskogee, OK
- NPI 1386188837
-
dba Saint Francis Hospital South
- General Acute Care Hospital
- Tulsa, OK
- NPI 1376561944
-
- Medicare Defined Swing Bed Hospital Unit
- Vinita, OK
- NPI 1467902460
-
- Psychiatric Hospital Unit
- Vinita, OK
- NPI 1578013579
-
- General Acute Care Hospital
- Vinita, OK
- NPI 1700334232
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1902242654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4930",
"city": "TULSA",
"state": "OK",
"postal_code": "741590930",
"telephone_number": "918-747-4975",
"fax_number": "918-743-8552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 E 41ST ST STE 900",
"city": "TULSA",
"state": "OK",
"postal_code": "741355631",
"telephone_number": "918-747-4975",
"fax_number": "918-743-8552"
}
],
"practiceLocations": [
{
"address_1": "4250 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Marianna",
"state": "FL",
"postal_code": "324461917",
"country_code": "US",
"telephone_number": "850-526-2200",
"fax_number": "850-718-2844",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1983 Marengo St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900331370",
"country_code": "US",
"telephone_number": "323-409-7677",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1653 W. Congress Parkway",
"address_2": "Rush University Medical Center",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60612",
"country_code": "US",
"telephone_number": "405-397-0376",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2101 Pease St",
"address_purpose": "LOCATION",
"city": "Harlingen",
"state": "TX",
"postal_code": "785508307",
"country_code": "US",
"telephone_number": "956-389-6565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARSON",
"first_name": "JEROME",
"middle_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "35610",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TX",
"license": "W8187",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A162079",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "OK",
"license": "35610",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "125062965",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME183938",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.